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1346862000
LIZANDRA M PORTALATIN
FAIR LAWN, NJ
NPI
1346862000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00529000)
Enumeration Date
2020-05-15
Last Update Date
2020-05-15
Business Address
Mrs. LIZANDRA M PORTALATIN MA, LAC
22-08 ROUTE 208 STE 16
FAIR LAWN, NJ 07410-2609
Phone number: 201-956-6363
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Mailing Address
Mrs. LIZANDRA M PORTALATIN MA, LAC
289 COUNTRY CLUB LN
SCOTCH PLAINS, NJ 07076-3111
Phone number: 347-325-2415
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